Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225X00000X | Occupational Therapist | 4754-026 | WI |
N | 225XG0600X | Occupational Therapist - Gerontology | 4754-026 | WI |
N | 225XN1300X | Occupational Therapist - Neurorehabilitation | 4754-026 | WI |
NPI | 1811222698 |
---|---|
Provider Name | Carey Lynn Alber |
First Address | Hartland, WI 53029-9377 |
Second Address | Oconomowoc, WI 53066-8675 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 12/10/2009 |
Last Update Date | 12/10/2009 |